Ambercity Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMBERCITY HOSPICE INC.

Doing business as

Ambercity Hospice Inc.

Practice address

3590 Central Ave
Suite 207
Riverside, CA 92506-2708

Phone

(951) 686-8100

Fax

(951) 686-5500

NPI assigned

Oct 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dekki Jonas Mawikere

Title

President

Phone

(909) 747-2072

Specialties & licenses 1

Addresses

Other names 1

• Ambercity Hospice Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551653

Legal name

AMBERCITY HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 7, 2012

Last certification

May 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 20, 2010 in CA

Enrollment address

3590 Central Ave
Ste 207
Riverside, CA 92506

Listed as

Ambercity Hospice, IncCCN 551653 · All quality measures

Ownership

For-Profit

Certified

Jun 7, 2012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lindy M Legoh

  • Family Nurse Practitioner
  • Grand Terrace, CA
  • NPI 1629822812

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mowbray Philip Hagan, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1235145590

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1649580929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062708",
            "telephone_number": "951-686-8100",
            "fax_number": "951-686-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062708",
            "telephone_number": "951-686-8100",
            "fax_number": "951-686-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERCITY HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "MAWIKERE",
        "authorized_official_first_name": "DEKKI",
        "authorized_official_middle_name": "JONAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-747-2072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambercity Hospice Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Amaya
• Sasha Nicole Amaya
• Amazing Grace Hospice Care, Inc.
• Melanie Malak Ambassador, MSW, BCBA
• Vinod Kumar Ambastha, MD
• Patricia P Ambriz, LVN
• Marissa Ambrocio
• Kenneth Ambroise Sr.
• American Ambulatory Anesthesia Associates
• American Care Pharmacy Inc (American Care Pharmacy)

• Community Based Hospice Care Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.